2 chris lamer ihs oit, nashville lisa lyon cherokee nation, oklahoma personal health record

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Chris LamerIHS OIT, Nashville

Lisa LyonCherokee Nation, Oklahoma

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Training Objectives

• Overview of PHR

• Demonstration of PHR

• HIM’s Role in PHR– Administration of the system– Pt Orientation– Pt Identification– Linking accounts– Pt account support

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Purpose of PHR

• The goal of the PHR is to improve the health of IHS patients through:– improved patient/provider collaboration– patient self-management– increased access to health information

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Benefits of PHR

• Research shows that when consumers actively participate in their own care, their outcomes are better. – Patients twice as likely to receive suggested

routing screening– Improves health communication– Patients perception of quality increases– Decreased no show rates– Time and cost saving for providers

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Current IHS PHR Features

• Display health information:– Medications– Allergies– Lab test results– Problem list

• Blue button printing/exporting

• Link to the National Library of Medicine

• Mobile views (in development)

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Screenshots ofPatient Views

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Patient Views Medicines

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Patient Views Allergies

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Patient Views Labs

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Patient Views Problems

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PHR Architecture

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PHR Roles

• IHS Administrator

• National Administrator

• Area Administrator

• Service Unit/Facility Administrator

• Registrar

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PHR Responsibilities

• Patient Registration– Registrar

• Amendments

• Deleting Accounts

• Breach Incidents

• Resetting Passwords

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Demonstration of PHR

• Administrative system– How the patient signs up for the PHR

• Patient access– How the patient views the PHR

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PHR Policies

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Verify Patient Identity

• Pre-requisite to Process Application

• Policy & procedure– IHS

• http://www.ihs.gov/ihm/index.cfm?module=dsp_ihm_pc_p2c7_ex_r

– Registrar knows patient, or– Patient shows identification

– Tribal policy and procedures

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Process Patient’s Application (Link)

• Find patient’s PHR account

• Find patient’s IHS medical record

• Link PHR account to IHS medical record– Record method of patient verification– Record type of person verified

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Orient Patient to PHR

• Orientation materials available include:– Summary of PHR Features & Benefits– PHR Instructions Page– Demonstration:

• On internet accessible computer at your facility• Via Webex video

– Other materials or tools as your facility deems necessary

• Review these materials with Patient

• Provide materials for Patient to keepPersonal Health Record

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Unlink PHR from Medical Record

• Triggers– PHR Account linked to wrong medical record– Patient no longer wants access– Other?

• Roles with unlink privileges– Registrars – Administrators – all levels

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PHR Account Linked To Wrong Record

• The PHR Account Holder is viewing somebody else’s medical information

• Is a breach of privacy and security– With 30 minutes of discovery must file an

incident report– Implement breach notification procedures– Investigation of this incident is required

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Recover Credentials for Patient

• Verify Patient’s Identity

• Find Patient’s PHR Account

• Re-set Patient’s Password

• Inform Patient of New Password

• Instruct Patient to Change Password– Patient Log-In– Go to Profile Tab

• Change Password

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Create Reports

• PHR creates user-selected ad-hoc reports

• Privileges for Registrars & System Administrators

• Reports Contain “Event” Information– Patient events– Registrar events– System Administrator events– PHR events– Dependent system events – MPI, RPMS

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Inactivate PHR Account

• To be developed

• IHS proactively inactivates account– Deceased patient– Issue with patient

• Different than automated inactivation of account– PHR Account remains unlinked for 1 year

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Dependencies on Other Systems

• Process Application (MPI or RPMS)– Matching PHR Accounts & IHS Records

• Patient Log-in (MPI or RPMS)– Retrieving updated facility list

• Unlink Accounts (MPI or RPMS)

• Patient Views Data (RPMS)

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Current Status

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Questions & Discussion

Demonstration

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